Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | C6137 | AR |
NPI | 1124016662 |
---|---|
Provider Name | Steven Lynn Cathey |
First Address | North Little Rock, AR 72117-2950 |
Second Address | North Little Rock, AR 72117-2950 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2005 |
Last Update Date | 04/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4356137 | AETNA (01) | |
D04453 | (02) | |
P00176048 | RAILROAD MEDCARE (01) |